Goitom Gigar | Jimma University (original) (raw)

Papers by Goitom Gigar

Momona Ethiopian Journal of Science, May 21, 2023

The study aimed to assess willingness to pay for community-based health insurance and its correla... more The study aimed to assess willingness to pay for community-based health insurance and its correlates among households in Wukro and Setit-humera towns, Tigray, Northern Ethiopia for the year 2016. A community-based survey was conducted in Wukro and Setit-humera towns of the Tigray region from August 30 to October 05, 2016. A total of 823 households were enrolled using a two-stage sampling. A structured, pre-tested, and interviewer-administered questionnaire was used. Data were entered and analyzed using SPSS version 20. Frequencies, mean, and median were calculated. Bivariate and multiple variable logistic regressions were fitted. Odds Ratio with 95% CI was used to see the associations between selected independent variables and the outcome variable. Willingness to pay for community-based health insurance (CBHI) in the two towns was 93.4% with 95% CI (91.6-95.0). The median amount of money that households are willingnessto-pay (WTP) was 11.1 USD. The mean amount of money an individual household is willing to pay was significantly higher in Setit-humera than in Wukro town. Participants who knew their monthly income were two times more likely to be willing to pay for CBHI [Adjusted odds ratio (AOR) =2.6, 95% CI; 1.1, 8.1]; and willingness was higher among households who perceived that the cost of care is affordable in health facilities [AOR=2.6, 95% CI; 1.02, 7.1]. The study has shown a high level of willingness to pay for health insurance. Perceived affordability and knowledge of monthly income were significant factors that affect willingness to pay for communitybased health insurance. Therefore, it can be operationalized in urban settings provided that the community is aware and sensitized focusing on the benefits of health insurance. Besides, the premium needs to be carefully set to consider the community's ability to pay.

PLOS ONE, Jan 6, 2023

Background Cervical cancer is a preventable disease if treated early, but remains the second lead... more Background Cervical cancer is a preventable disease if treated early, but remains the second leading cause of cancer-related mortality among women in low and middle-income countries. Data on epidemiology and risk factors in these settings are scarce. This study aimed to assess the prevalence of pre-cancerous cervical lesions and risk factors in Tigray region, Ethiopia. Methods A community-based, cross-sectional study was used and 900 participants were 30 recruited using multistage sampling and finally data from 883 were collected using an interviewer administered questionnaire and screening with visual inspection with ascetic acid. Data were collected using an interviewer administered questionnaire and screening with visual inspection with acetic acid from March 2016 to June 2017. Multinomial logistic regression analysis was conducted to estimate predictors.

<p>Zithromax coverage stratified by age and residence in South and Southeastern zones of Ti... more <p>Zithromax coverage stratified by age and residence in South and Southeastern zones of Tigray region, 2016.</p

<p>Mass drug administration coverage by selected variables in South and Southeastern zones ... more <p>Mass drug administration coverage by selected variables in South and Southeastern zones of Tigray, 2016 (N = 3741).</p

<p>Zithromax coverage stratified by sex and residence in South and Southeastern zones of Ti... more <p>Zithromax coverage stratified by sex and residence in South and Southeastern zones of Tigray region, 2016.</p

<p>Reasons for non-participants on Zithromax MDA in Southern and Southeast zones of Tigray,... more <p>Reasons for non-participants on Zithromax MDA in Southern and Southeast zones of Tigray, 2016.</p

<p>Socio-demographic characteristics of respondents in South and Southeastern zones of Tigr... more <p>Socio-demographic characteristics of respondents in South and Southeastern zones of Tigray, 2016.</p

<p>Zithromax MDA coverage by district, Southern and Southeast Zones of Tigray, 2016.</p

<p>Geographical map of study districts and kebelles in South and Southeastern zones of Tigr... more <p>Geographical map of study districts and kebelles in South and Southeastern zones of Tigray region, 2016.</p

Background: A lot has been done globally, continentally and at n tional level to improve health s... more Background: A lot has been done globally, continentally and at n tional level to improve health status of the community. Despite the increasing scope and sophist ication of healthcare, the huge resources devoted t it and the focus on improvement; it is still failing at a fundamental level. Caring and compassion, the basic s of care delivery, and the human aspects that define it seem to be under strain. Objective: To assess the Status of patient centered care in Ti grai Regional state: Patients Perspective Methodology: Cross-sectional study design was employed and the s tudy participants were 1386 patients attending in the selected health facilities in Tigr ay health institutions. The study participants were selected proportionally from each health facility using syst ematic random sampling on discharge. Individualized Care Scale tool was used to assess patient’s perception and experience on patient centered care. Interviewe r administered data collection technique was employed . Epi...

<p>Type and source of information about Zithromax mass administration in Southern and South... more <p>Type and source of information about Zithromax mass administration in Southern and Southeast zones of Tigray, 2016.</p

PLOS Neglected Tropical Diseases, 2018

Background The antibiotic treatment of people with trachoma helps to prevent transmission the dis... more Background The antibiotic treatment of people with trachoma helps to prevent transmission the disease in a community. Currently, Zithromax is the drug recommended for mass drug administration (MDA). MDA should be carried out annually for three to five years in trachoma endemic areas. Coverage survey is essential to track progress towards program goals and to identify communities with poor coverage in order to permit timely and appropriate actions. We assessed mass Zithromax administration coverage, social mobilization and campaign challenges in south and southeast zones of Tigray, Ethiopia. Method We conducted a survey in community in Southern and South East zones of Tigray region from August 15 to August 31, 2016. The survey included nine Woredas. It was supported by qualitative methods. A total of 3741 individuals were enrolled from 933 households using multistage sampling. We used structured questionnaire. In-depth interview and focus group discussion were also applied. Descriptive statistics was performed using SPSS version 20. We thematically analyzed the qualitative data using Atlas 7. Result The overall coverage of Zithromax MDA was 93.3%. It ranges from 90.0% in Seharti Samre to 97.9% in Endamokoni. The coverage was 93.4% for males and 93.1% for females. A higher proportion (98.3%) of children aged 5 to 15 years and 409 (87.8%) under five children took Zithromax. The coverage was 94% in rural and 91.2% in urban. Women development army (43.3%) and health extension workers (32.5%) were the main source of information. Frequent occurrence of drug side effects, rumors, lack of community and leaders' engagement in the campaign, fasting, shortage of human power and short term unavailability of supplies were barriers during the campaign.

Contraception and Reproductive Medicine, 2016

Momona Ethiopian Journal of Science, May 21, 2023

The study aimed to assess willingness to pay for community-based health insurance and its correla... more The study aimed to assess willingness to pay for community-based health insurance and its correlates among households in Wukro and Setit-humera towns, Tigray, Northern Ethiopia for the year 2016. A community-based survey was conducted in Wukro and Setit-humera towns of the Tigray region from August 30 to October 05, 2016. A total of 823 households were enrolled using a two-stage sampling. A structured, pre-tested, and interviewer-administered questionnaire was used. Data were entered and analyzed using SPSS version 20. Frequencies, mean, and median were calculated. Bivariate and multiple variable logistic regressions were fitted. Odds Ratio with 95% CI was used to see the associations between selected independent variables and the outcome variable. Willingness to pay for community-based health insurance (CBHI) in the two towns was 93.4% with 95% CI (91.6-95.0). The median amount of money that households are willingnessto-pay (WTP) was 11.1 USD. The mean amount of money an individual household is willing to pay was significantly higher in Setit-humera than in Wukro town. Participants who knew their monthly income were two times more likely to be willing to pay for CBHI [Adjusted odds ratio (AOR) =2.6, 95% CI; 1.1, 8.1]; and willingness was higher among households who perceived that the cost of care is affordable in health facilities [AOR=2.6, 95% CI; 1.02, 7.1]. The study has shown a high level of willingness to pay for health insurance. Perceived affordability and knowledge of monthly income were significant factors that affect willingness to pay for communitybased health insurance. Therefore, it can be operationalized in urban settings provided that the community is aware and sensitized focusing on the benefits of health insurance. Besides, the premium needs to be carefully set to consider the community's ability to pay.

PLOS ONE, Jan 6, 2023

Background Cervical cancer is a preventable disease if treated early, but remains the second lead... more Background Cervical cancer is a preventable disease if treated early, but remains the second leading cause of cancer-related mortality among women in low and middle-income countries. Data on epidemiology and risk factors in these settings are scarce. This study aimed to assess the prevalence of pre-cancerous cervical lesions and risk factors in Tigray region, Ethiopia. Methods A community-based, cross-sectional study was used and 900 participants were 30 recruited using multistage sampling and finally data from 883 were collected using an interviewer administered questionnaire and screening with visual inspection with ascetic acid. Data were collected using an interviewer administered questionnaire and screening with visual inspection with acetic acid from March 2016 to June 2017. Multinomial logistic regression analysis was conducted to estimate predictors.

<p>Zithromax coverage stratified by age and residence in South and Southeastern zones of Ti... more <p>Zithromax coverage stratified by age and residence in South and Southeastern zones of Tigray region, 2016.</p

<p>Mass drug administration coverage by selected variables in South and Southeastern zones ... more <p>Mass drug administration coverage by selected variables in South and Southeastern zones of Tigray, 2016 (N = 3741).</p

<p>Zithromax coverage stratified by sex and residence in South and Southeastern zones of Ti... more <p>Zithromax coverage stratified by sex and residence in South and Southeastern zones of Tigray region, 2016.</p

<p>Reasons for non-participants on Zithromax MDA in Southern and Southeast zones of Tigray,... more <p>Reasons for non-participants on Zithromax MDA in Southern and Southeast zones of Tigray, 2016.</p

<p>Socio-demographic characteristics of respondents in South and Southeastern zones of Tigr... more <p>Socio-demographic characteristics of respondents in South and Southeastern zones of Tigray, 2016.</p

<p>Zithromax MDA coverage by district, Southern and Southeast Zones of Tigray, 2016.</p

<p>Geographical map of study districts and kebelles in South and Southeastern zones of Tigr... more <p>Geographical map of study districts and kebelles in South and Southeastern zones of Tigray region, 2016.</p

Background: A lot has been done globally, continentally and at n tional level to improve health s... more Background: A lot has been done globally, continentally and at n tional level to improve health status of the community. Despite the increasing scope and sophist ication of healthcare, the huge resources devoted t it and the focus on improvement; it is still failing at a fundamental level. Caring and compassion, the basic s of care delivery, and the human aspects that define it seem to be under strain. Objective: To assess the Status of patient centered care in Ti grai Regional state: Patients Perspective Methodology: Cross-sectional study design was employed and the s tudy participants were 1386 patients attending in the selected health facilities in Tigr ay health institutions. The study participants were selected proportionally from each health facility using syst ematic random sampling on discharge. Individualized Care Scale tool was used to assess patient’s perception and experience on patient centered care. Interviewe r administered data collection technique was employed . Epi...

<p>Type and source of information about Zithromax mass administration in Southern and South... more <p>Type and source of information about Zithromax mass administration in Southern and Southeast zones of Tigray, 2016.</p

PLOS Neglected Tropical Diseases, 2018

Background The antibiotic treatment of people with trachoma helps to prevent transmission the dis... more Background The antibiotic treatment of people with trachoma helps to prevent transmission the disease in a community. Currently, Zithromax is the drug recommended for mass drug administration (MDA). MDA should be carried out annually for three to five years in trachoma endemic areas. Coverage survey is essential to track progress towards program goals and to identify communities with poor coverage in order to permit timely and appropriate actions. We assessed mass Zithromax administration coverage, social mobilization and campaign challenges in south and southeast zones of Tigray, Ethiopia. Method We conducted a survey in community in Southern and South East zones of Tigray region from August 15 to August 31, 2016. The survey included nine Woredas. It was supported by qualitative methods. A total of 3741 individuals were enrolled from 933 households using multistage sampling. We used structured questionnaire. In-depth interview and focus group discussion were also applied. Descriptive statistics was performed using SPSS version 20. We thematically analyzed the qualitative data using Atlas 7. Result The overall coverage of Zithromax MDA was 93.3%. It ranges from 90.0% in Seharti Samre to 97.9% in Endamokoni. The coverage was 93.4% for males and 93.1% for females. A higher proportion (98.3%) of children aged 5 to 15 years and 409 (87.8%) under five children took Zithromax. The coverage was 94% in rural and 91.2% in urban. Women development army (43.3%) and health extension workers (32.5%) were the main source of information. Frequent occurrence of drug side effects, rumors, lack of community and leaders' engagement in the campaign, fasting, shortage of human power and short term unavailability of supplies were barriers during the campaign.

Contraception and Reproductive Medicine, 2016